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1144927641
SHANI CHUNG
SLC, UT
NPI
1144927641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-02-14
Last Update Date
2023-02-14
Business Address
SHANI CHUNG
27 S MARIO CAPECCHI DR
SLC, UT 84112-5888
Phone number: 801-449-0873
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Mailing Address
SHANI CHUNG
2948 E ORCHARD DR
SLC, UT 84109-3614
Phone number:
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